Ðe wò ŋkuwo dze abe ɖe wonyrɔ enea? Mina míaƒo nu tso Enophtalmos ŋu!

Ède dzesii kpɔ be ame aɖewo ƒe ŋkuwo nyrɔ ɖe eme vie, abe ɖe wonyrɔ ɖe woƒe ŋkume enea? Ðewohĩ wò ŋutɔ èto esia me kpɔ, alo ɖewohĩ èkpɔ ame aɖe si nènya wòwɔe kpɔ. Le atikewɔwɔ me la, woyɔa esia be enophthalmos . Ŋkɔ sia aɖi nya vevi aɖe vie, gake mègatsi dzi o. Mina míaƒo nu tso eŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu. Elabena nɔnɔme sia ate ŋu ado mo ɖa le susu geɖe ta, eye nanewo li nàte ŋu awɔ tso eŋu.

Nuka tututue nye Enophthalmos?

Kpuie ko la, enophthalmos nye ne wò ŋku ɖeka alo evea siaa nyrɔ ɖe ŋkume, alo nyrɔ ɖe eme. "En" le go sia me gɔmee nye "eme" eye "ophthalmos" gɔmee nye "ŋku." Esia ƒe akpa kemɛ, ne ŋkuawo do la, woyɔna be exophthalmos alo proptosis . Ame aɖewo hã yɔnɛ be "ŋku ƒe ʋuʋudedi siwo le dodom."

Ŋku siwo nyrɔ ƒe nɔnɔme sia si woyɔna be enophthalmos ate ŋu anye nusi wodzina alo woxɔna . Ate ŋu adze ŋku ɖeka (afã ɖeka) alo ŋku evea siaa (afã eve) hã dzi.

Susu geɖe ate ŋu anɔ esia ta. Le kpɔɖeŋu me:

• Tsikuɖiɖi nye tsi ƒe anyimanɔmanɔ le ŋutilã me.
• Atikewɔwɔ me dɔléle aɖewo, abe Horner ƒe dɔléle ene .
• Ŋku ƒe abixɔxɔ si me nuveviwɔame le - Esiawo ateŋu atso nusiwo abe ʋufɔku, dzrewɔwɔ, alo ɣletinyigba ƒe gbagbã gbɔ. Woyɔa esia be enophthalmos si wɔa nublanui .
• Nɔnɔme siwo wodzina abe Silent Sinus Syndrome ene .
• Ne ame tsi (senile enophthalmos) la, ŋkuwo te ŋu nyrɔna vie ɣeaɖewoɣi.

Ameka ŋue Enophthalmos gblẽa nu le wu?

Wokpɔa nɔnɔme sia zi geɖe le amesiwo kpɔ gome le ʋufɔkuwo me (ʋuwo, agbatsɔʋuwo, dzokekewo), alo amesiwo ƒe ɣletinyigbawo gbã le ƒoƒo ɖe mo alo avuwɔwɔ ta. Ƒu si ƒo xlã ŋkuae nye ƒu si kpɔa ŋkua ta. Le akɔntabubu nu la, nɔnɔme sia gblẽa nu le ŋutsuwo ŋu vie wu nyɔnuwo.

Nukawoe nye enophthalmos ƒe dzesiwo?

Ne enophthalmos le ŋuwò la, dzesiawo ate ŋu ato vovo le nusi gbɔ wòtso nu. Gake dzesi aɖewo li siwo bɔ siwo nàte ŋu akpɔ:

• Nukpɔkpɔ eve (Diplopia): Nu eve kpɔkpɔ zi ɖeka. Esia doa dziku ŋutɔŋutɔ.
• Nukpɔkpɔ ƒe susu tsɔtsɔ ɖe nu ŋu ƒe sesẽ:Exɔa ɣeyiɣi aɖe hafi wòte ŋu kpɔa nu nyuie, alo ɖewohĩ womate ŋu akpɔe kura o.
• Mo ƒe nɔnɔme siwo mesɔ o: Esia fia be wò mo ƒe akpa ɖeka mesɔ kple evelia tututu o. Esia ate ŋu adzɔ ne wò ŋkuwo nyrɔ.
• Ŋku ƒe akpa si le etame ƒe ɖiɖi (Ptosis): Ate ŋu ana nàdze abe alɔ̃ dɔm le ŋuwò ene.
• Deep sulcus : Do goglo aɖe si dzena le ŋkume ƒe akpa si le etame kple ŋkume ƒe ŋkume dome.
• Ŋku ƒuƒu: Sese le ɖokuiwò me abe ɖe wò ŋkuwo mele aɖatsi ɖum o ene, wole bibim, eye wole dɔdzẽ wɔm.

Ɣeaɖewoɣi la, ɖɔkta ate ŋu ade dzesi dzesi siawo dometɔ aɖewo (ŋku ƒe akpa si le etame ƒe ŋeŋe, mo ƒe masɔmasɔ, ŋku siwo nyrɔ) ne wonya kpɔ wò ko.

Nukatae enophthalmos dzɔna? Nukawoe gbɔ wòtsona?

Nu geɖe li siwo ate ŋu ana ŋku siwo nyrɔ, alo enophthalmos, nana. Woate ŋu ama nusiwo gbɔ wòtso siawo ɖe hatsotso vevi geɖe me.

1. Tɔtrɔ siwo va le wò ŋkume ƒe lolome (orbit) ŋu .

Ne míegblɔ be "orbit" la, míefia ƒu ƒe ʋuƒo si ƒo xlã wò ŋku. Ɣeaɖewoɣi la, woyɔa socket la kple nusianu si le eme (si me ŋkumeʋuʋu hã le) katã be "orbit." Eyata ne ŋkumeɖonu sia ƒe lolome trɔ eye wòlolo la, afisi nu siwo le eme le ate ŋu atrɔ. Susu geɖewo li siwo tae ŋkumeɖonu ƒe lolome ate ŋu atrɔ ɖo:

• Wò ŋku ƒe gbagbã: Esiae nye nusi gbɔ wòtsona wu. Etɔxɛe la, ƒu siwo le ŋkua te ƒe gbagbã (orbital floor fracture). Orbital blowout fracture nye gbagbã ƒomevi aɖe si nu sẽ ŋutɔ. Ate ŋu adzɔ hã le nusiwo gblẽ le aɖu kple ƒu bubu siwo le mo ŋu ta.
• Silent Sinus Syndrome (SSS) alo chronic maxillary sinus atelectasis : Esia nye nɔnɔme si me ŋku ƒe akpa si le ete la gbɔdzɔna eye wòmuna yia eme le dɔléle aɖe si le ŋkume ƒe lãkusi, si nye ya ƒe do siwo le ŋɔti me le ŋɔti ƒe akpa eveawo ta.
• Nɔnɔme bubuwo, abe neurofibromatosis ene, ate ŋu ana mo ƒe ƒu nabu alo wòazu nuwɔametɔ.
• Tɔtrɔ siwo vaa ƒuwo me ne ame tsi: Míaƒe ƒuwo hã trɔna le ɣeyiɣi aɖe megbe.

2. Tɔtrɔ siwo vaa nusiwo le wò ŋkume ƒe akpa si le eme la me

Ɣeaɖewoɣi la, ŋku siwo nyrɔ ate ŋu atso ami kple lãmeka siwo le ŋkua me ƒe tɔtrɔ ta, ke menye kuxi siwo le ƒuwo ŋu o. Kpɔɖeŋuwo:

• Ami ƒe lãmenugbagbeviwo ƒe bu kple lãmekawo ƒe gbɔdzɔgbɔdzɔ ne ame tsi: Ŋkɔ vovovowo gɔ̃ hã le nɔnɔme eve siwo dona tso tɔtrɔ siawo siwo do ƒome kple tsitsi me: Giant Fornix Syndrome (GFS) kple senile sunken eye syndrome . GFS nye dɔléle si hea ŋkumeʋuʋu vɛ zi geɖe.(ŋkudɔléle). Nɔnɔme siawo evea siaa ate ŋu ahe kuxiwo vɛ le ŋkua ƒe akpa si le gota hã.
• Ʋukawo ƒe kuxiwo.
• Nusiwo keklẽŋusẽ ƒe atikewɔwɔ gblẽna le ta ŋu ɣeyiɣi didi.
• Dɔléle siwo trɔa ami ƒe mama ƒe ɖoɖo le ŋutilã bliboa me, vevietɔ le mo: Esia ƒe kpɔɖeŋu ɖekae nye Parry-Romberg ƒe dɔléle , si dzea mo ƒe akpa ɖeka ko dzi. Kpɔɖeŋu bubue nye amegbetɔ ƒe dɔlélenutsiŋutete ƒe dɔlékui (HIV) .
• Scleroderma: Esia nye dɔléle si tsoa dɔlélenutsiŋutete gbɔ si nana ŋutilãa ƒe lãkusi vovovowo, abe ŋutigbalẽ, ayiku, kple nuɖuɖumeŋusẽ ene, ƒoa ƒu.
• Nuveviwɔame alo amekoko le ŋkume (ne ƒu megbã o gɔ̃ hã): Ɣeaɖewoɣi la, ne ƒua megbã o hã la, abi alo amekoko le ŋkume ate ŋu ana ŋkua nanyrɔ ɖe eme.
• Atike aɖewo siwo wozãna tsɔ daa ŋkudɔ: Nɔnɔme aɖe li si woyɔna be prostaglandin-associated periorbitopathy (PAP) . Ðewohĩ esia makpɔ gbɔ keŋkeŋ ne wodzudzɔ atikeawo zazã vɔ gɔ̃ hã o.

3. Tɔtrɔ le wò ŋkuwo ƒe lolome ŋu

Ɣeaɖewoɣi la, ŋkuawo ƒe nɔƒe ate ŋu atrɔ le tɔtrɔ siwo va le ŋkua ŋutɔ me ta, abe ŋkua ƒe lolome ene.

• Kansa ƒe kaka: Kansa si kaka ɖe ŋku dzi tso teƒe aɖe abe no, ʋuka, lãkusi, dɔgbo ƒe dɔwɔwɔ, ŋutigbalẽ, alo parotid gland ene.
• Ŋku ƒe gbegblẽ vevie le afɔku me (ne ƒu megbã o gɔ̃ hã).
• Congenital fibrosis syndrome: Esia nye dɔléle si nɔa ame ŋu le vidzidzi me. Enaa abi (fibrosis) nɔa ŋku eveawo ŋu. Esi wògblẽa nu le ŋku eveawo siaa ŋu (axa eve) ta la, ɖewohĩ vovototo sia madze le ŋkuléle ɖe eŋu zi gbãtɔ me o.

Aleke woawɔ anya Enophthalmos ƒe dɔlélea? (Dɔléle ƒe dzesi) .

Zi geɖe la, vevietɔ ne ŋku ɖeka koe enophthalmos gblẽ nu le la, ɖɔkta ate ŋu anya dɔlélea ne wonya kpɔ wò ko. Tsɔ kpe ɖe eŋu la, woabia wò atikewɔwɔ ŋutinya eye woado ŋku kpɔ bliboe .

Azɔ hã, dɔwɔnu kple dodokpɔ tɔxɛ aɖewo li siwo ŋkudɔdalawo zãna tsɔ dzidzea nyuie nenye be enophthalmos le ŋuwò alo mele ŋuwò o:

• Exophthalmometry: Esia dzidzea afisi wò ŋku do (do) alo nyrɔ (nyrɔ) do goe le ŋkume.
• Computed Tomography (CT) scan: Mɔnu sia ƒoa X-ray kple kɔmpiuta nu ƒu tsɔ wɔa ŋutilã ƒe akpa aɖewo kple lãkusiwo ƒe nɔnɔmetata siwo le akpa etɔ̃ (3D). Esia ate ŋu ana woase ƒu kple lãkusi siwo le ŋkume ƒe nɔnɔme gɔme nyuie wu.
• Magnetic Resonance Imaging (MRI scan): Mɔnu sia zãa magnet, radio ƒutsotsoewo, kple kɔmpiuta (keklẽ aɖeke mele eme o) tsɔ wɔa ŋutilã ƒe akpa aɖewo kple lãkusiwo ƒe nɔnɔmetata tsitotsito. Ate ŋu ana lãmenugbagbevi falɛfalɛwo ŋuti nyatakaka nyuiwo etɔxɛe.

Ðo ŋku edzi be ɖewohĩ mahiã be woawɔ dodokpɔ siawo katã na wò o. Wò ɖɔkta anɔ te ɖe wò nɔnɔmea dzi atso nya me le dodokpɔ siwo sɔ ŋu.

Aleke wowɔa atike na Enophthalmos?

Enophthalmos dada fia ŋutɔŋutɔ be woada nusi gbɔ wòtsona. Eyata, atikewɔwɔa toa vovo le nusi gbɔ wòtso nu.

• Atikewo zazã gɔmedzedze alo edzudzɔ: Ɣeaɖewoɣi la, atikewɔwɔ ƒe nɔnɔme aɖe gbɔe esia tsona, si bia be woadze atikewo zazã gɔme. Alo, ne enye nane abe ŋkudɔ ƒe atike ene la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàdzudzɔ atike ma alo atrɔe.
• Amekoko: Ne nane abe ɣletinyigba ƒe gbagbã ene gbɔe wòtso la, ate ŋu ahiã be woawɔ dɔ nɛ atsɔ adzrae ɖo. Ɣeaɖewoɣi la, wowɔa dɔ hã tsɔ ɖɔa ŋkua ƒe lolome ɖo alo be woatsɔ alé ŋkua ɖe te.

Ðe kuxi aɖewo do ƒome kple atikewɔwɔa?

Ẽ, ɣeaɖewoɣi la, kuxiwo ate ŋu ado mo ɖa le enophthalmos dada vɔ megbe. Menye ame sia ame dzie wòdzɔna o, gake enyo be nànya be:

• Dzesiawo le sesẽm ɖe edzi.
• Mo ƒe nɔnɔme si sɔ ƒe bu.
• Nukpɔkpɔ ƒe bu (ebɔ ŋutɔ).
• Nukpɔkpɔ eve (Diplopia).
• Ŋutete si le ame si be wòaʋuʋu ŋkuwo dzi ɖe kpɔtɔ alo eƒe bu.

Esia tae wòle vevie be woadi atike nyui tso eŋutinunyala bibi aɖe gbɔ ɖo.

Aleke nàwɔ aɖe enophthalmos ƒe afɔkua dzi akpɔtɔ?

Nu ɖeka si nàte ŋu awɔ be nàɖe dɔléle sia ƒe afɔkua dzi akpɔtɔe nye be nàkpɔ ɖokuiwò ta tso wò ŋkuwo kple mo ƒe ƒuwo ƒe gbagbã me.

• Zã dedienɔnɔ ƒe dɔwɔnuwo: Do ​​dedienɔnɔ ƒe ŋkumewu kple gakuku siwo sɔ ne èle kamedefefe wɔm alo nèle nuwɔna ɖesiaɖe si me afɔku le wɔm.
• Ʋukuku nyuie: Ʋufɔkuwoe nye nu vevitɔ si nana ame ƒe mo xɔa abi.
• Ƒo asa na dzrewɔwɔ: Ne woƒo mo na ame la, ate ŋu agblẽ nu le ŋkume.

Nukae nye amesi ŋu enophthalmos le ƒe hayahaya ƒe mɔkpɔkpɔ?

Mɔkpɔkpɔ be amesi ŋu enophthalmos le ƒe hayahaya nɔ te ɖe nusi gbɔ wòtso dzi koŋ. Le kpɔɖeŋu me, zi geɖe la, atikewɔwɔ na aɖuɖɔtoe ƒe gbagbã alo silent sinus syndrome le eƒe ɖevime naa nu nyui ŋutɔwo dona tso eme. Gake ne nusi gbɔ wòtso la sesẽ wu la, atikewɔwɔ ate ŋu asesẽ wu eye ɣeyiɣi siwo woatsɔ ahaya ate ŋu ato vovo.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne afɔku aɖe dzɔ si na wò ŋku alo mo ƒo la, ele vevie be nàyi ɖɔkta gbɔ. Ele vevie hã be nàƒo nu kple ɖɔkta ne ède dzesi tɔtrɔ aɖewo le wò nukpɔkpɔ me (e.g. nukpɔkpɔ si me kɔ o, nukpɔkpɔ zi eve) alo ne èse le ɖokuiwò me be yeƒe ŋkuwo nyrɔ ɖe eme.Zi alesi nèke ɖe nusi gbɔ wòtso ŋu kaba la, zi nenemae edada anɔ bɔbɔe wu.

Vovototo kae le Enophthalmos kple Hypoglobus dome?

Enophthalmos nye ne wò ŋkumeʋuʋuwo nyrɔ ɖe woƒe ŋkume. Hypoglobus nye ne wò ŋkumeʋuʋuwo le ʋuʋum yi anyime. Wo ame evea siaa ate ŋu atso nuveviwɔame kple Silent Sinus Syndrome gbɔ.

Vovototo kae le Enophthalmos kple Anophthalmos dome?

Anophthalmos nye ŋku ɖeka alo evea siaa ƒe anyimanɔmanɔ le vidzidzi me. Enophthalmos nye ŋkua ƒe ʋuʋu , si wɔnɛ be wònyrɔna yia eme. Esiawo nye nɔnɔme eve siwo to vovo kura.

Vovototo kae le Enophthalmos kple Pseudoenophthalmos dome?

Ɣeaɖewoɣi la, nɔnɔme aɖe ate ŋu anɔ anyi si me ŋkua adze abe ɖe wònyrɔ ene evɔ womenyrɔe ŋutɔŋutɔ o. Woyɔa esia be pseudo-enophthalmos ( pseudo gɔmee nye "aʋatso"). Le kpɔɖeŋu me, ne ŋku ɖeka te ŋu kpɔa nu kpuie (si kpɔa nu kpuie) wu evelia la, ke ate ŋu adze abe ŋku ma nyrɔ ene. Gake ŋkua menyrɔ ŋutɔŋutɔ o.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Ne ŋku siwo nyrɔ (enophthalmos) le ŋuwò la, wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàke ɖe nusi gbɔ wòtso ŋu. Nɔnɔme sia ate ŋu atso nane si dze ƒã, abe gbagbã ene gbɔ, alo ate ŋu anye nane si mènya be ele dzɔdzɔm o, abe sinus ƒe kuxi ene.

Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne èdze afɔku le mo alo ŋkuwo dzi. Azɔ hã, ne ède dzesi tɔtrɔ aɖewo le wò nukpɔkpɔ me la, ƒo nu tso eŋu na wò ɖɔkta. Ne wokpɔ dɔlélea dze sii kaba eye wodae la, ate ŋu axe mɔ ɖe kuxi geɖe nu. Mègatsi dzi o, nusianu gbɔ kpɔnu li!

` Enophthalmos, ŋku siwo nyrɔ, ŋkudɔ, ŋku ƒe dɔléle, ŋku ƒe ʋuʋu, ŋku ƒe dzedzeme, mo ƒe asymmetry